Predictors of mortality after acute hip fracture

J Gen Intern Med. 1996 Dec;11(12):765-7. doi: 10.1007/BF02598997.

Abstract

To identify determinants of mortality after hip fracture, we performed a multicenter, retrospective study of 390 Medicare beneficiaries. Independent predictors of 30-day mortality included a history of congestive heart failure (odds ratio [OR] 32; 95% confidence interval [CI] 5, 192), angina (OR 26; 95% CI 4, 184), or chronic pulmonary disease (OR 11; 95% CI 2, 62). Postoperative use of aspirin was associated with a reduced risk of mortality (OR 0.24; 95% CI 0.08, 0.70). Cardiovascular events were the presumed cause of 63% of in-hospital deaths. Aspirin may have significant potential to reduce mortality in this population and deserves further study.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aspirin / therapeutic use
  • Comorbidity
  • Female
  • Hip Fractures / mortality*
  • Hospital Mortality
  • Humans
  • Iowa
  • Male
  • Medicare / statistics & numerical data
  • Platelet Aggregation Inhibitors / therapeutic use
  • Postoperative Care
  • Regression Analysis
  • Retrospective Studies
  • Risk Factors
  • Thrombophlebitis / prevention & control
  • United States

Substances

  • Platelet Aggregation Inhibitors
  • Aspirin